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Melvin Susanto, MD
Family Medicine Physician in Fort Wayne, Indiana
NPI 1558939629

Melvin Susanto is a Family Medicine Physician based in Fort Wayne, IN. Melvin Susanto practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Melvin Susanto is 1558939629 and holds a License No. 11021823A (Indiana).

The current practice location address for Melvin Susanto is 750 Broadway Ste 350, Fort Wayne, IN and can be reached out via phone at 260-423-2675 and via fax at 260-423-6621.

Location: 750 Broadway Ste 350, Fort Wayne, IN, 46802-1412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558939629
Provider Name
Melvin Susanto
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
750 Broadway Ste 350, Fort Wayne, IN, 46802-1412
Phone Number
260-423-2675
Fax Number
260-423-6621
Provider Enumeration Date
06/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 Broadway Ste 350
City
Fort Wayne
State
Indiana
Zip
46802-1412
Phone Number
260-423-2675
Fax Number
260-423-6621
person
Provider Business Mailing Address Details
Address
750 Broadway Ste 350
City
Fort Wayne
State
Indiana
Zip
46802-1412
Phone Number
260-423-2675
Fax Number
260-423-6621
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
11021823A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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